Psoriasis is a non-infectious, chronic inflammatory disease of the skin, characterized by well-defined erythematous plaques, with silvery scale, with a predilection for extensor surfaces and scalp. It has a chronic fluctuating course.
Psoriasis may start at any age but is unusual before 5 years. Individualized management is essential. If a patient with localized plaque psoriasis on elbows, knees, and sacrum should respond to topical treatment only, whereas someone with guttate psoriasis is likely to need phototherapy as a first-line approach because of difficulties in topical drug application in extensive disease. A patient with extensive chronic plaque psoriasis and significant arthropathy would be better suited to a systemic drug, such as methotrexate, than phototherapy, which would be unlikely to improve joint symptoms. Thus, whilst a step-wise general approach to management may offer guidance, the correct choice for any given patient must be determined on an individual basis.
Psoriasis can be efficiently treated by homeopathy with the help of a constitutional remedy covering the totality of all signs and symptoms. Remedy differs from case to case, so reaching the right homeopathic remedy under the consultation of a registered homeopathic practitioner is important.
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